Individual
DR. RACHAEL A BODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8748
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301115871
MI
207P00000X
Emergency Medicine Physician
75088-20
WI
207P00000X
Emergency Medicine Physician
Primary
M-16006
ID
Other
Enumeration date
06/14/2018
Last updated
06/07/2022
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